Provider Demographics
NPI:1811032998
Name:TROYER, TERRY (MA)
Entity Type:Individual
Prefix:MR
First Name:TERRY
Middle Name:
Last Name:TROYER
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 6378
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606
Mailing Address - Country:US
Mailing Address - Phone:757-345-5802
Mailing Address - Fax:757-345-5725
Practice Address - Street 1:354 MCLAWS CIR
Practice Address - Street 2:SUITE 3
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23185-6346
Practice Address - Country:US
Practice Address - Phone:757-345-5802
Practice Address - Fax:757-345-5725
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2012-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003868101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010216842Medicaid